Final Study Guide Flashcards

(47 cards)

1
Q

What disease is associated with a mutation in Type I collagen?

A

Osteogenesis imperfecta

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2
Q

Give a potential diagnosis based on this X-ray and histological slide:

X-ray: multilocular radiolucency crossing midline of mandible, root resorption (third molars not in yet so its a kid)

Histology: multi-nucleated giant cells (AKA chocolate chip)

A

Central giant cell granuloma

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3
Q

All of the following describe McCune Albright syndrome except:

a) cafe au lait pigmentation
b) multiple endocrine lesions
c) polyostotic disease of fibrous dysplasia
d) hypofunction of cells involved in the tissue

A

d) hypofunction of cells involved in the tissue

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4
Q

What is a potential diagnosis for a patient with intestinal polyps?

A

Gardner syndrome

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5
Q

Immunohistochemistry test for multiple myeloma would likely present what?

A

Monoclonal light chain

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6
Q

What disease is associated with multiple myeloma?

A

Multiple myeloma

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7
Q

What is the gene mutation for cherubim?

A

SH3P2

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8
Q

What would you expect to see under a microscope for langerhans cell histiocytosis?

A

Birbeck granules

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9
Q

What disease is commonly associated with supernumerary teeth?

A

Gardner’s syndrome

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10
Q

Differential diagnosis for:

X-ray:
-posterior mandible
-large, well-circumscribed radiolucency
-involving the roots
-tooth “Floating in air”

A

Langerhan’s cell histiocytosis

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11
Q

Patient is 70 years old and presents with this radiograph:

X-ray: punched out radiolucencies all over skull

What is your diagnosis?

A

Multiple myeloma

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12
Q

Upon a biopsy of a lesion, what are you expecting to find for the histology of a focal osteoporotic defect?

A

Hematopoietic bone marrow defect

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13
Q

Patient presents with this lesion that has not expanded in ten years, pulp testing reports vital, what is your diagnosis?

X-ray:
-radiopacity
-associated with apex of molar & premolars
-unilocular

A

Idiopathic osteosclerosis

(increased radiopacity, non-expansile, mandibular molar-premolar area, vital teeth)

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14
Q

List three possible differential diagnosis for this X-ray:

A
  1. ameloblastoma (conventional)
  2. multiple OKCs (nevoid basal cell syndrome)
  3. central giant cell granuloma
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15
Q

Radiograph of a unilocular radiolucency- what can this NOT be?

A

Botryoid Odontogenc cyst

Mr. Botryoid likes grapes

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16
Q

Radiograph of odontoma- what cyst is most commonly associated with this?

A

Calcifying odontogenic cyst (gorlin cyst)

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17
Q

Histology presents a corrugated surface, prominent, palisaded, hyper chromatic basal layer- what is most likely the radiographic presentation?

A

Multilocular radiolucency (OKC)

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18
Q

What is the reason for recurrence of OKC?

A

Daughter/satellite cysts

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19
Q

A 50 year old male comes in with this radiograph (huge multilocular mass in posterior mandible). What is NOT in your differential diagnosis?

A

Ameloblastic fibroma - because this is a kiddie tumor

20
Q

Which of the following will you NOT see with Nevoid Basal cell carcinoma syndrome? (Gorlin syndrome?

A

Multiple ameloblastomas

(you willl see: bifid ribs, multiple OKCs, nervous system neoplasms)

21
Q

Histology shows ghost cells, what is this?

A

Calcifying odontogenic cyst

(these ghost cells may be areas where calcification may occur)

22
Q

Patient presents with VITAL teeth and a radioLUCENCY that scallops the border of the roots. On biopsy the surgeon reports an empty cavity. The patient reports having a sports injury in the area. Diagnosis?

A

Traumatic bone cyst

23
Q

What presents with normal hematopoietic bone marrow histology?

A

Osteoporotic bone defect

24
Q

Histology shows REVERSE POLARITY of basal cell nuclei, NUCLEAR HYPERCHROMATISM, NUCLEAR PALISADING, and SUBNUCLEAR VACUOLATION. What is is?

A

Unicystic ameloblastoma

25
Patient presents with a lesion characterized by whirling of the epithelium and pseudo-ducts. What is it?
Adenomatoid odontogenic tumor -WHIRLING OF EPITHELIUM -PSUEDO DUCTS
26
What can present as a multilocular radiolucency?
Botryoid odontogenic cyst
27
Which of the following is MOST AGGRESSIVE? a) ameloblastic fibroma b) complex odontoma c) odontogenic myxoma d) compound odontoma
c) Odontogenic myxoma
28
What is LEAST likely to be a multilocular radiolucency?
Periapical cyst
29
Histology shows PINK, POLYGONAL, POLYHEDRAL epithelial cells with calcifications. What is this?
Calcifying epithelial odontogenic tumor
30
Histology shows amyloid and Liesegang ring calcifications? What is it?
Calcifying epithelial odontogenic tumor
31
A biopsy was done on a radiopaque lesion. Histology shows that the lesion came out whole. What is it?
Cementoblastoma
32
Radiograph showing a radiopaque mass in the posterior mandible, not resembling teeth. What is it?
Complex odontoma
33
Patient presents with a NON-VITAL tooth and RADIOPACITY associated with the apex of the root. What is this?
Condensing osteitis
34
What presents with multifocal radiopacities?
Gardner syndrome
35
Picture of brown-blue teeth. Patient presents with multiple bone fractures & blue sclera, what is this?
Osteogenesis imperfecta
36
What has a cotton wool radiographic appearance?
Paget disease of bone
37
What is a developmental form of a benign fibre-osseous lesion?
1. Fibrous dysplasia 2. osseous dysplasia 3. ossifying fibroma
38
Which form of fibrous dysplasia involves cafe au lait pigmentation, endocrinopathy and craniofacial dysplasia?
Mccune Albright syndrome 1. fibrous dysplasia 2. cafe au lait 3. endocrinopathy 4. craniofacial dysplasia
39
Patient presents with a fibrous lesion, Histology reveals Chinese-like characters, what is it?
Fibrous dysplasia
40
Patient presents with radiopacities associated with the apex of several anterior mandibular teeth. The findings is incidental, What is it?
Peri-apical cemento-osseous dysplasia
41
After extraction of a mandibular molar, a radiograph shows a radiopaque lesion at the extraction site. What is it?
Focal cemento-osseous dysplasia
42
Diffuse radiopacities throughout the maxilla and mandible, what is it>
Florid cemento-osseous dysplasia
43
A lesion was biopsied and came out in one piece, What is it?
Cemento-ossifying fibroma
44
Patient presents with histology of extravasated RBCs, hemosideren, and multinucleated giant cells. Blood tests revealed an increased in parathyroid hormone, what is this?
Brown tumor (central giant cell granuloma but hyperparathyroidism = brown tumor)
45
What is the chronic focal form of langerhans cell histiocytosis?
Eosinophilic granuloma
46
Localized, symmetrical widening of the PDL space is the ominous sign of what?
Osteosarcoma
47